Active NPI
H B Therapeutic Services, LLC
- Clinical Social Worker
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2001024582
- Legal business name
- H B THERAPEUTIC SERVICES, LLC
- Practice address
- 2012 Cherry Hill Dr Ste 101
Columbia, MO 65203-5882 - Phone
- (573) 289-8144
- NPI assigned
- Jul 23, 2006
- Last updated
- Jan 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heidi Annette Blackstun, MSW, LCSW, MBA
- Title
- Owner, Clinician
- Phone
- (573) 289-8144
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2001024582 | MO | Primary |
Addresses
Primary practice location
2012 Cherry Hill Dr Ste 101
Columbia, MO 65203-5882
Mailing address
1810 Caledon CT
Columbia, MO 65203-8458
Phone (573) 289-8144
Other practice location 1
3610 Buttonwood Dr
Suite #200
Columbia, MO 65201-3721
Phone (573) 886-8972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1000 W Nifong Blvd
Bldg 1
Columbia, MO 65203
Phone (573) 234-1800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Columbia, MO
- NPI 1821028895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675036800000",
"number": "1679594535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 CALEDON CT",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652038458",
"telephone_number": "573-289-8144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 CHERRY HILL DR STE 101",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652035882",
"telephone_number": "573-289-8144"
}
],
"practiceLocations": [
{
"address_1": "3610 Buttonwood Dr",
"address_2": "Suite #200",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652013721",
"country_code": "US",
"telephone_number": "573-886-8972",
"fax_number": "573-886-8901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "H B THERAPEUTIC SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A",
"authorized_official_last_name": "BLACKSTUN",
"authorized_official_first_name": "HEIDI",
"authorized_official_middle_name": "ANNETTE",
"authorized_official_title_or_position": "OWNER, CLINICIAN",
"authorized_official_telephone_number": "573-289-8144",
"authorized_official_credential": "MSW, LCSW, MBA"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2001024582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.